Prismatic Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRISMATIC COUNSELING, PLLC

Practice address

5319 Bethel Rd SE
Port Orchard, WA 98367-7827

Phone

(206) 504-3203

NPI assigned

Aug 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Elliot Thomas, MA, LMHCNPI 1003358870

Title

Clinic Director

Phone

(206) 504-3203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Elliot Thomas, MA, LMHC

  • Mental Health Counselor
  • Port Orchard, WA
  • NPI 1003358870

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1912626953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SE LUND AVE # 1046",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665555",
            "telephone_number": "206-504-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 BETHEL RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983677827",
            "telephone_number": "206-504-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMATIC COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "206-504-3203",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912626953",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna-Mae Porter
• Rebecca Ann Potter-Vanhoogstraat, PT, DPT
• Robin Leslie Powell, LCSW
• Rosa A Prewitt, L.M.P.
• Jordan Price
• Amber Kaylan Privitt, SUDPT
• Puget Sound Kidney Centers
• Ronald C Purbaugh
• Demian Mateo Putzke
• Christopher S Quarles, MD

• All providers in Port Orchard, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.